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For the first time, a team from Johns Hopkins Hospital in Baltimore transplanted the kidney of a person living with HIV to a transplant recipient also living with HIV. According to a Johns Hopkins statement, doctors say the donor and recipient are doing well.
"This is the first time in the world that a person living with HIV is allowed to donate kidney, and it's huge," Dorry Segev, MD, PhD, Professor of Surgery at the Faculty of Medicine at Johns Hopkins University, the statement said. "An illness that was a death sentence in the 1980s has become such a controlled disease that people living with HIV can now save lives by donating kidney – it's amazing."
People living with HIV have not been able to donate their kidneys so far, as there was concern that HIV might be a too high risk factor for renal failure in HIV. according to the press release. However, recent research by Segev and colleagues on more than 40,000 people living with HIV has shown that new antiretroviral drugs are safe for the kidneys, and that those with well-controlled HIV are basically at the same risk as those with HIV. who are not and who are in good health. donate kidneys.
"What is significant for the first living kidney donor – who is also living with HIV – is that it advances medicine while combating stigma. It encourages providers and the public to see HIV differently " Christine Durand, MD, Associate Professor of Medicine and Oncology and a member of the Johns Hopkins Cancer Research Center Sidney Kimmel, said in the statement. "While patients waiting for a transplant see that we are working with as many donors as possible to save as many lives as possible, we are giving them hope. Each successful transplant shortens the waiting list of all patients, regardless of their HIV status. "
Physicians will continue to closely monitor the recipient and the donor. In light of the new predictors and the highly effective antiretroviral treatment options available, the team is optimistic that long-term HIV control and kidney function will be excellent, the statement said.
Reference:
www.hopkinsmedicine.org/transplant/news_events/hiv-positive-to-hiv-positive-transplants.html
Disclosure: The work is supported by the National Cancer Institute, the National Institutes of Allergy and Infectious Diseases, the NIH, the CDC and the Agency for Health Research and Quality (NCT02602262).
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